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  • Title: Experience with crystalline niacin as the preferred drug for dyslipidemia in a specialty clinic.
    Author: Rindone JP, Arriola OG.
    Journal: Pharmacotherapy; 1997; 17(6):1296-9. PubMed ID: 9399614.
    Abstract:
    To determine the tolerability and efficacy of crystalline niacin in reaching target lipid goals, we conducted a retrospective review of medical records of 62 patients treated with the agent over 2 years in a lipid clinic at a nonacademic veterans hospital. Most patients received niacin for hypercholesterolemia. Thirty-one patients (50%) stopped therapy due to adverse events, principally, intolerable cutaneous reactions. Twenty-nine withdrew from therapy during the first 6 weeks of treatment. Of those who tolerated niacin, 23 did not achieve target lipid serum concentrations at the maximum tolerated dosage; 8 did achieve target concentrations. Thus crystalline niacin was largely ineffective in treating patients with dyslipidemia.
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